Bird, Blaine F

Bird, Blaine F is an individual health care provider with primary practice located at 1055 N 300 W Suite 204, Provo UT 84604-3344. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Bird, Blaine F can be contacted via phone (801) 357-7373.

Contact Information

Primary practice address
1055 N 300 W Suite 204 Provo UT 84604-3344
Phone: (801) 357-7373
Fax: (801) 357-7217
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 114554-8908 Utah
Eye and Vision Services Providers / Pediatrics 152WP0200X 114554-9934 Utah
Eye and Vision Services Providers / Sports Vision 152WS0006X 114554-9934 Utah
Eye and Vision Services Providers / Optometrist 152W00000X 114554-9934 Utah

Profile Details

NPI number 1871581652
LBN Legal business name Bird, Blaine F
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jun 10th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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